E0770, Functional electrical stimulator, transcutaneous stimulation of nerve and/orHCPCS/CPT
Prior Auth Required
At least one active policy explicitly requires prior authorization (high confidence)
ANTHEM-DME.00022, Functional Electrical Stimulation (FES); Threshold Electrical Stimulation (TES)
EVICORE-HPLAN-CIGNA_MEDICARE-268F28B96146, Cigna Medicare Advantage Durable Medical Equipment Code List - Effective 01/01/2025
UHC-POL-electrical-stimulation-treatment-pain-muscle-rehabilitation, Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation
UHC-POL-vagus-nerve-stimulation, Vagus and External Trigeminal Nerve Stimulation
AETNA-CPB-0677, Functional Electrical Stimulation and Neuromuscular Electrical Stimulation
AETNA-CPB-0362, Spasticity Management
AETNA-CPB-0191, Vagus Nerve Stimulation
AMBETTER-CP.MP.48, Neuromuscular and Peroneal Nerve Electrical Stimulation (NMES)
UMR-POL-UMR-electrical-stimulation-treatment-pain-muscle-rehabilitation, Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation
UMR-POL-UMR-vagus-nerve-stimulation, Vagus and External Trigeminal Nerve Stimulation
SUREST-POL-SUREST-electrical-stimulation-treatment-pain-muscle-rehabilitation, Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation
SUREST-POL-SUREST-vagus-nerve-stimulation, Vagus and External Trigeminal Nerve Stimulation
UHCMA-POL-UHC_MA-electrical-ultrasonic-stimulators, Electrical Stimulators
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